NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
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NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities for Utilization Management Registered Nurse: * Develop, implement, and administer ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities for Utilization Management Registered Nurse: * Develop, implement, and administer ...
Knowledge of third party payer requirements in utilization review preferred. Credentials with Equivalent Qualifications: Essential: * Registered Nurse AL Single State or any of the following ...
Knowledge of third party payer requirements in utilization review preferred. Credentials with Equivalent Qualifications: Essential: * Registered Nurse AL Single State or any of the following ...
Knowledge of third party payer requirements in utilization review preferred. Credentials with Equivalent Qualifications: Essential: * Registered Nurse AL Single State or any of the following ...
Knowledge of third party payer requirements in utilization review preferred. Credentials with Equivalent Qualifications: Essential: * Registered Nurse AL Single State or any of the following ...
Responsibilities Utilization Review Coordinator- Full-time The Utilization Review Coordinator ... Nursing BSN or RN. * Strong organizational skills and excellent interpersonal and strong ...
Responsibilities Utilization Review Coordinator- Full-time The Utilization Review Coordinator ... Nursing BSN or RN. * Strong organizational skills and excellent interpersonal and strong ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
Quick apply
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities for Utilization Management Registered Nurse: * Develop, implement, and administer ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities for Utilization Management Registered Nurse: * Develop, implement, and administer ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date ... Responsibilities Responsibilities for Utilization Management Registered Nurse: * Develop, implement ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
Quick apply
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach ... and nursing to education department for follow up/training. * Review diabetic acuity reports ...
Understand the principles and concepts of medical quality assurance and utilization review ... NaphCare - Life as an RN - YouTube If you would like to speak with me to learn more about this ...
Understand the principles and concepts of medical quality assurance and utilization review ... NaphCare - Life as an RN - YouTube If you would like to speak with me to learn more about this ...
Competitive RN Pay * Blue Cross Blue Shield Health & Dental Insurance * Vision Insurance * Life ... utilization review activities. * Receives physicians' instructions regarding resident care and ...
Competitive RN Pay * Blue Cross Blue Shield Health & Dental Insurance * Vision Insurance * Life ... utilization review activities. * Receives physicians' instructions regarding resident care and ...
Volunteer Rn Utilization Review Nurse information
See Birmingham, AL salary details
$20.05 - $24.11
2% of jobs
$24.11 - $28.16
9% of jobs
$30.94 is the 25th percentile. Wages below this are outliers.
$28.16 - $32.22
21% of jobs
The median wage is $35.50 / hr.
$32.22 - $36.27
23% of jobs
$36.27 - $40.33
13% of jobs
$43.48 is the 75th percentile. Wages above this are outliers.
$40.33 - $44.38
10% of jobs
$44.38 - $48.44
8% of jobs
$48.44 - $52.49
5% of jobs
$52.49 - $56.55
5% of jobs
$56.55 - $60.60
2% of jobs
$60.60 - $64.66
2% of jobs
$20
$39
$64
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
NaphCare rating
5.9
Based on 47 frontline employees who took The Breakroom Quiz
740th of 864 rated healthcare providers
Job description
NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate Office located in Birmingham, AL.
NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 35 years. Come join our team of over 5000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.
NaphCare Full Time Benefits:
- Prescriptions free of charge through our health plan
- Health, dental & vision insurance that starts day one!
- We offer low cost benefits to our employees and their families
- Employment Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- On-site education
- Free Continuing Education!
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.
ResponsibilitiesResponsibilities for Utilization Management Registered Nurse:
- Develop, implement, and administer the quality assurance and utilization review processes
- Monitor and report on the quality of all facets of the medical care provided to patients
- Perform utilization and concurrent review of patient cases
- Conduct detailed clinical chart assessments
- Gather clinical information to assess and expedite care needs
- Determine need, if any, for intervention, and discussing with physicians
- Reviews requests from providers regarding medical necessity of requested services for patients
- Reviews and audits patients' medical records as indicated to determine medical necessity
- Utilizes nationally recognized criteria to determine medical necessity of requested services
- Refers provider requests to Medical Director or designee when medical necessity of requested services does not meet recognized criteria
Qualifications for Utilization Management Registered Nurse:
- A current and unrestricted RN license in AL
- A minimum of 3 years' experience in an acute care setting and 2 years' experience in utilization review and/or case management
- Valid cpr card
- Excellent communication and interpersonal skills
- attention to detail and decision-making skills are essential
- BSN or ADN required.
- Some travel required.
We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you're interested in.
Equal Opportunity Employer: disability/veteran
Employment Type: FULL_TIMEAbout NaphCare
Sourced by ZipRecruiter
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Birmingham, AL, US
Year founded
1989